Insurance Authorization Advocate

Intermountain Healthcare Inc.; Wheat Ridge (CO); On-site; USD 27,000 - 39,000; Full time

Benefits offered by this job

Benefits package

Job summary

Intermountain Health Lutheran Hospital is seeking a Referral Representative to manage insurance pre-authorization for primary and specialty visits and testing. You will collect patient data, verify coverage, and liaise with health plans to obtain approvals, acting as the patient advocate.

Strong attention to detail and collaboration with clinical and billing teams are essential. Responsibilities include coordinating with insurance carriers, generating cost estimates, and ensuring accurate

Qualifications

• Detail-oriented and accurate data handling.
• Knowledge of medical terminology and patient data.
• Strong customer service and communication skills.
• Experience with electronic medical records systems (EPIC preferred).

Responsibilities

• Process referrals and pre-authorization for visits and testing.
• Gather and document patient demographics, insurance, and medical needs.
• Coordinate with providers, staff, and payers to obtain approvals.
• Maintain detailed records of referrals and authorizations in EMR systems.

Skills

Detail-oriented

Medical Terminology

Customer Service

Medical Records Management

Critical Thinking

Communication

Education

CNA

MA

EMT

Healthcare experience

Tools

EPIC

Microsoft Word

Microsoft Outlook

Microsoft Excel

OneNote

Job description

Intermountain Health Lutheran Hospital is seeking a Referral Representative to manage insurance pre-authorization for primary and specialty visits and testing. You will collect patient data, verify coverage, and liaise with health plans to obtain approvals, acting as the patient advocate.

Strong attention to detail and collaboration with clinical and billing teams are essential. Responsibilities include coordinating with insurance carriers, generating cost estimates, and ensuring accurate